When checking for ascites using Shifting dullness. The following can cause what complication?
– Mesenteric fat
– Feces in bowel
– < 500cc of fluid

False positive.

Burning or gnawing pain,
epigastric, may radiate to the back.
• Precipitated by long periods of no food or skipping meals.
• Often feel pain early in morning, which is relieved by intake of food
or antacids.

Peptic Ulcer Disease (PUD)

– Chronicity, Rhythmicity, Periodicity

Burning, epigastric or xiphisternal. Radiates to the retrosternum.
• Precipitated by over-eating, bending over, or being in a reclined
position.